Carmen Maccagnano1, Lorenzo Rocchini2, Emanuele Montanari3, Giario Natale Conti4, Giovanni Petralia5, Federico Dehò6, Kadi-Ann Bryan7, Roberto Contieri8, Rodolfo Hurle9. 1. Department of Surgery, Section of Urology, ASST Lariana, Nuovo Ospedale Sant'Anna, San Fermo della Battaglia (CO). carmen.maccagnano@gmail.com. 2. Department of Surgery, Division of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan. lorenzo.rocchini@gmail.com. 3. Department of Surgery, Division of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan. emanuele.montanari@unimi.it. 4. Department of Surgery, Section of Urology, ASST Lariana, Nuovo Ospedale Sant'Anna, San Fermo della Battaglia (CO). giario.conti@gmail.com. 5. Urology Unit, Niguarda Hospital, Milan. giovanni.petralia@hotmail.com. 6. Unit of Urology, ASST Sette Laghi-Circolo e Fondazione Macchi Hospital. federico.deho@asst-settelaghi.it. 7. Rogue-Valley Urology, Medford, Oregon. kadiann.bryan@gmail.com. 8. Department of Urology, Istituto Clinico Humanitas IRCCS Clinical and Research Hospital, Rozzano (MI). contieri.ro@gmail.com. 9. Department of Urology, Istituto Clinico Humanitas IRCCS Clinical and Research Hospital, Rozzano (MI). rodolfo.hurle@humanitas.it.
Abstract
OBJECTIVE: Overview of bladder cancer (BC) management in Italy during the first month of the COVID-19 pandemic (March 2020) with head to head comparison of the data from March 2019, considered "usual activity" period. The aim is to analyze performance of different Italian Centers in North, Center and South, with a special eye for Lombardy (the Italian epicenter). PATIENTS AND METHODS: During April 2020, a survey containing 14 multiple-choice questions focused on general staffing and surgical activity related to BC during the months of March 2019 and March 2020 was sent to 32 Italian Centers. Statistical analysis was performed using IBM SPSS Statistics (v26) software. A Medline search was performed, in order to attempt a comparative analysis with published papers. RESULTS: 28 Centers answered, for a response rate of 87.5%. Most of the urology staff in the Lombardy region were employed in COVID wards (p = 0.003), with a statistically significant reduction in the number of radical cystectomies (RC) performed during that time (p = 0.036). The total amount of RC across Italy remained the same between 2019 and 2020, however there was an increase in the number of surgeries performed in the Southern region. This was most likely due to travel restrictions limiting travel the North. The number of Trans-Urethral Resection of Bladder Tumors (TURBT) (p = 0.046) was higher in Academic Centers (AC) in 2020 (p = 0.037). CONCLUSIONS: The data of our survey, although limited, represents a snap shot of the management of BC during the first month of the COVD-19 pandemic, which posed a major challenge for cancer centers seeking to provide care during an extremely dynamic clinical and political situation which requires maximum flexibility to be appropriately managed.
OBJECTIVE: Overview of bladder cancer (BC) management in Italy during the first month of the COVID-19 pandemic (March 2020) with head to head comparison of the data from March 2019, considered "usual activity" period. The aim is to analyze performance of different Italian Centers in North, Center and South, with a special eye for Lombardy (the Italian epicenter). PATIENTS AND METHODS: During April 2020, a survey containing 14 multiple-choice questions focused on general staffing and surgical activity related to BC during the months of March 2019 and March 2020 was sent to 32 Italian Centers. Statistical analysis was performed using IBM SPSS Statistics (v26) software. A Medline search was performed, in order to attempt a comparative analysis with published papers. RESULTS: 28 Centers answered, for a response rate of 87.5%. Most of the urology staff in the Lombardy region were employed in COVID wards (p = 0.003), with a statistically significant reduction in the number of radical cystectomies (RC) performed during that time (p = 0.036). The total amount of RC across Italy remained the same between 2019 and 2020, however there was an increase in the number of surgeries performed in the Southern region. This was most likely due to travel restrictions limiting travel the North. The number of Trans-Urethral Resection of Bladder Tumors (TURBT) (p = 0.046) was higher in Academic Centers (AC) in 2020 (p = 0.037). CONCLUSIONS: The data of our survey, although limited, represents a snap shot of the management of BC during the first month of the COVD-19 pandemic, which posed a major challenge for cancer centers seeking to provide care during an extremely dynamic clinical and political situation which requires maximum flexibility to be appropriately managed.
Authors: Maria J Monroy-Iglesias; Sonpreet Rai; Francesco A Mistretta; Graham Roberts; Harvey Dickinson; Beth Russell; Charlotte Moss; Rita De Berardinis; Matteo Ferro; Gennaro Musi; Christian Brown; Rajesh Nair; Ramesh Thurairaja; Archana Fernando; Paul Cathcart; Azhar Khan; Prokar Dasgupta; Sachin Malde; Marios Hadijpavlou; Saoirse Dolly; Kate Haire; Marta Tagliabue; Ottavio de Cobelli; Ben Challacombe; Mieke Van Hemelrijck Journal: BJUI Compass Date: 2022-01-27
Authors: Maria J Monroy-Iglesias; Marta Tagliabue; Harvey Dickinson; Graham Roberts; Rita De Berardinis; Beth Russell; Charlotte Moss; Sophie Irwin; Jonathon Olsburgh; Ivana Maria Francesca Cocco; Alexis Schizas; Sarah McCrindle; Rahul Nath; Aina Brunet; Ricard Simo; Chrysostomos Tornari; Parthi Srinivasan; Andreas Prachalias; Andrew Davies; Jenny Geh; Stephanie Fraser; Tom Routledge; RuJun Ma; Ella Doerge; Ben Challacombe; Raj Nair; Marios Hadjipavlou; Rosaria Scarpinata; Paolo Sorelli; Saoirse Dolly; Francesco Alessandro Mistretta; Gennaro Musi; Monica Casiraghi; Alessia Aloisi; Andrea Dell'Acqua; Donatella Scaglione; Stefania Zanoni; Daniele Rampazio Da Silva; Daniela Brambilla; Raffaella Bertolotti; Giulia Peruzzotti; Angelo Maggioni; Ottavio de Cobelli; Lorenzo Spaggiari; Mohssen Ansarin; Fabrizio Mastrilli; Sara Gandini; Urvashi Jain; Hisham Hamed; Kate Haire; Mieke Van Hemelrijck Journal: Cancers (Basel) Date: 2021-03-30 Impact factor: 6.639